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Clinical case vignette mental health stigma
Case studies on schizophrenia
How stigma affects mental health patients
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Schizophrenia in Aronofsky’s Black Swan
It is severe, disabling, chronic and constantly recurring. Patients hear unexisting voices, feel irrational fear of others, and have difficulty thinking clearly. 24 million people around the world suffer from schizophrenia, a delusion-marked psychological disorder (Myers). This illness is dauntingly depicted in a beautiful protagonist of the 2010 thriller movie Black Swan, directed by Darren Aronofsky.
MOVIE SUMMARY
The protagonist, Nina Sayers, is a delicate and a skilled ballerina. After the previous Swan Queen retires, Nina is chosen as a potential for the Swan Queen. This year, the Swan Queen performs both the innocent, pure white and the provocative, sensual black swan. Nina is perfect in playing the white swan, but she lacks as the black swan. The director, Thomas Leroy, is not impressed with Nina’s performance as the black swan. Nina practices that night and asks for a second chance, which Thomas rejects at first. But after kissing Nina, and getting bitten by her, he finds that Nina also has the potential for the black swan, and changes his mind. Nina is excited by her role but also anxious because of the new member of the company, Lily. Lily does not have the precise techniques Nina have, but she is indeed, charismatic. Moreover, the former Swan Queen, Beth Macintyre, is unhappy that she has been pulled out of her place due to her age and asks Nina if she had spent a night with Thomas. Nina feels offended. When she gets home, she has to deal with her obsessive, authoritarian, former ballerina mother, Erica.
Nina feels anxious and stressed that she cannot get the black swan right. She feels that Thomas would replace her with Lily as the Swan Queen. Joking around and being on Nina’s si...
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... Health).
CONCLUSION
Often, people feel that someone is following behind them in the dark, scheming of something evil, maybe see something pass by through the woods, hear weird sounds, or jumble up meaningless words. It may be a once-a-month feeling, in which the person would not be a “schizo”; but it may be an everyday thing, every moment, disabling the person to function properly, captivating them in their own worlds. Schizophrenia may account for such symptoms. After all, by probability, one in 100 people are said to develop schizophrenia (Myers). But there is hope for getting well and adjusting to society again – research is ongoing and people are more understanding. Media portrays the disorder as an aesthetic achievement. Although intense with many psychotic factors, the Black Swan illustrates the perfection a human being can accomplish through being psychotic.
Schizophrenia is one of the most well known and surprisingly frequent psychological disorders today. Patients who have this disorder have problems separating reality from fantasy or delusion. Typically, the person with schizophrenia starts off with a small paranoia about something or someone and continues to get more and more problematic until he/she has trouble functioning in the real world because of emotional, physical, mental, or financial reasons. Because of this, most people who end up homeless have Schizophrenia because they are unable to keep a job, Nathaniel Ayes in the book The Soloist. Nathaniel was a cello player attending the Julliard school of music, one of the world’s most prestigious performing art schools, until he developed schizophrenia and was unable to continue. This book shows how much a disorder such as schizophrenia can turn a person’s life upside down in the course of as little as a few weeks.
...d, proud & beautiful as the beautiful swan that she has now become. Billy is now seen infront of a massive audience & he is completely grown up, we see him as a very strong figure, has stands up proud & strong with good posture which shows us his confidence in himself & how he has grown & transformed into a beautiful swan, both figuratively & as well as literally as Billy is seen playing the main role in Swan Lake as a beautiful swan, which is a direct link to show how he really has transformed & now become a beautiful swan & as he goes out & leaps across the stage we see how much he has transformed & now become very graceful.
To me, Schizophrenia is by far the most frightening disorders in the DSM. Snyder’s account of how he truly believed his delusions, specifically those surrounding the debilitating fear for his life, are hard to image. This presents a challenge for me as a counselor in empathizing with clients who are experiencing this. In reflecting on this dilemma, I came to realize that while I may not be able to understand the fear of my life being in danger, I can relate to the emotion of fear; this can be the connecting point for me to the client. Expressing sympathy is also another tool I have when I am unable to empathize with a client’s thoughts and emotions. Furthermore, Snyder’s narrative reinforced my notion of how insidious Schizophrenia can be. That is to say, that while in many cases this disorder may live traces of itself in childhood and adolescents, in some cases it occurs unexpectedly. Snyder details his normal childhood, including supportive parents, with little to no evidence of any sort of trauma or odd behavior; and yet he was still blindsided with the disease. I began to reflect particularly on how difficult this would be for clients experiencing these same circumstances. It will be essential for me as a counselor to recognize that
According to (Barlow, 2001), Schizophrenia is a psychological or mental disorder that makes the patient recognize real things and to have abnormal social behavior. Schizophrenia is characterized by symptoms such as confused thinking, hallucinations, false beliefs, demotivation, reduced social interaction and emotional expressions (Linkov, 2008). Diagnosis of this disorder is done through observation of patient’s behavior, and previously reported experiences (Mothersill, 2007). In this paper, therefore, my primary goal is to discuss Schizophrenia and how this condition is diagnosed and treated.
Schizophrenia is a group of psychotic disorders with major impairments in thought, emotion, and behavior; there is a constant prevalence rate of one percent with the occurrence being slightly higher in men. Though different psychologists have various theories on whether the disorder is linked to genetics or social economic status, schizophrenia in all
For a long time I had an deep interest in schizophrenia, I think that mental illness such as this one of ten miss interpreted in the media. There have been several movies that display schizophrenia in pop culture. One of these movies is one that I very much enjoyed tittle sucker punch.
Schizophrenia is a serious, chronic mental disorder characterized by loss of contact with reality and disturbances of thought, mood, and perception. Schizophrenia is the most common and the most potentially sever and disabling of the psychosis, a term encompassing several severe mental disorders that result in the loss of contact with reality along with major personality derangements. Schizophrenia patients experience delusions, hallucinations and often lose thought process. Schizophrenia affects an estimated one percent of the population in every country of the world. Victims share a range of symptoms that can be devastating to themselves as well as to families and friends. They may have trouble dealing with the most minor everyday stresses and insignificant changes in their surroundings. They may avoid social contact, ignore personal hygiene and behave oddly (Kass, 194). Many people outside the mental health profession believe that schizophrenia refers to a “split personality”. The word “schizophrenia” comes from the Greek schizo, meaning split and phrenia refers to the diaphragm once thought to be the location of a person’s mind and soul. When the word “schizophrenia” was established by European psychiatrists, they meant to describe a shattering, or breakdown, of basic psychological functions. Eugene Bleuler is one of the most influential psychiatrists of his time. He is best known today for his introduction of the term “schizophrenia” to describe the disorder previously known as dementia praecox and for his studies of schizophrenics. The illness can best be described as a collection of particular symptoms that usually fall into four basic categories: formal thought disorder, perception disorder, feeling/emotional disturbance, and behavior disorders (Young, 23). People with schizophrenia describe strange of unrealistic thoughts. Their speech is sometimes hard to follow because of disordered thinking. Phrases seem disconnected, and ideas move from topic to topic with no logical pattern in what is being said. In some cases, individuals with schizophrenia say that they have no idea at all or that their heads seem “empty”. Many schizophrenic patients think they possess extraordinary powers such as x-ray vision or super strength. They may believe that their thoughts are being controlled by others or that everyone knows what they are thinking. These beliefs ar...
Overall, I think Black Swan was very intriguing and proved to be an accurate display of psychotic dysfunction, particularly schizophrenia. This movie required critical thinking in order to be able to put together the pieces and to understand the depth of schizophrenia. Even though this movie showed the darker side of schizophrenia, I still recommend it to anyone who has an interest in this mental disorder.
What is Schizophrenia? Schizophrenia is brain disorder that makes it hard to see the difference between reality and imagination, have normal emotional responses, and act normal in social situations. Schizophrenia is relatively young, it has only been around for less than 100 years. It was first discovered by Dr. Emile Kraeplin in 1887. He believed it was a mental illness. A few documents take Schizophrenia’s origins back to Egypt during the Pharaoh’s rule around 1550 B.C. People originally thought schizophrenia was simply madness, and usually associated it with madness, even though it is quite different from madness. Symptoms of this disease include Positive symptoms, which are: hallucinations, or things that someone can see, feel, smell, or hear that do not really exist. Many people hear voices inside their heads, see people that are not there, or smell odors no one else smells. Delusions are another symptom, also known as bizarre beliefs, these may include paranoid delusions also, which are delusions that tell the person that others are trying to hurt them. Thought Disorders are a symptom in which the person thinks unusually or dysfunctionally. Movement disorders may be present in schizophrenic people, they may seem like twitches or small, sharp, and sudden movements. Schizophrenia’s “negative symptoms” are harder to recognize. These include the flat affect, in which the persons face doesn’t move and the voice is droning. The lack of pleasure in life is another once, along with the lack of ability to start and sustain activities, and little speech. These symptoms prevent or block the person from living a normal life because they cause social, physical, and emotional, and mental problems. This may lead to psychosis, insanity, or ...
Schizophrenics experience two different kinds of torture… positive, and negative symptoms. Positive symptoms are not “positive” in the least bit. They include delusions, hallucinations, disorganised thoughts and disorganised speech. These symptoms make it very hard for schizophrenics to work or to live in their own house. Positive symptoms are especially dangerous because in some cases, the hallucinations will tell the victim to kill either themselves or another person. H...
Schizophrenia is a devastating and costly mental disorder that affects 1% of population worldwide. Patients manifest clusters of positive, negative and cognitive symptoms in early twenties and are often left with life-long severe mental disability and social stigma. Cognitive deficits in patients with schizophrenia are considered core symptoms of this disorder, and can manifest at the initial stage (Elvevåg and Goldberg, 2000). Atypical antipsychotics ameliorate positive symptoms but may only modestly improve cognitive symptoms (Richelson, 2010). In addition to this, some of the typical antipsychotics are even have deteriorative effects on cognitive symptoms (Heaton and Crowley 1981). To find the appropriate treatments for cognitive deficits of schizophrenia, it is important to know the underlying pathophysiology.
Schizophrenia is a psychologic disorder with symptoms of different mixtures of delusions, hallucinations, disorganized thinking and markedly disorganized or catatonic behavior (Bergsholm, 2016). The main theme in the movie “Black Swan” is to show the process of a normal person to become a schizophrenia patient. The main character, Nina, is a ballet dancer and she is in a very competitive ballet company. As the movie goes on, she gradually appears the symptoms of hallucination, paranoid delusion, self-mutilation, aggressive behavior, hostility and suicide attempt (Velligan, Alphs, 2008). The actions of Nina has clearly shown that Nina is experiencing schizophrenia. Therefore, the movie “Black Swan” is accurately representing schizophrenia with concrete details and images.
Hallucinations and Obsessive-Compulsive Disorder were the two main these presented in the film, and were both displayed similarily to what I had learned in the educational instruments I used. The symptoms and characterists of both shined through the character, and made me feel as if I were living her reality with her. The directors of this film made the reality of these physhological disorders come to life for the viewers. This film would be a great piece for educational purposes, which gives the public a better understanding and virtual reality for those who are unfarmiliar with these disorders or who would like to better educate themselves on the topics. This film was a bit more serious, therefore the subject matter was not treated in a humorous way whatsoever. The characters played serious roles, where dedication and perseverance were their main focus. Several scenes in the film gave viewers raw emotion and behind the scenes reality of the life Nina lives, day to day, with her psychological issues. Towards the end of the film Nina begins to experience more hallucinations. She believes everyone is out to get her, including her own mother. There are scenes where she visions the black swan through the mirror, as well as viewing herself as this even person in her dressing room. These hallucinations drive Nina farther away from her reality, and begin to take a toll on her mental
The main character in the film Black Swan, twenty-eight year old female Nina Sayers, displays signs of numerous disorders through her abnormal behavior. Nina’s life is consumed by her occupation: professional ballerina/dancer. Nina resides with her mother and rarely socializes with others. She has difficulty concentrating, is restless, irritable, suffers from muscle tension, and sleep disturbances from nightmares. Nina also feels very uncomfortable in social and intimate situations. She appears to be unable to successfully interact with those around her. The interaction that Nina has with her fellow dancers appears to be strained and superficial. Nina exhibits behavior that indicates she views all other dancers as competition instead of potential comrades’ or friends. Being very introverted and unable to share any part of herself with those around her, even her mother, who appears to be the only person that has been remotely close to Nina, causes her to seek companionship with parts of herself instead of healthy relationships with others. Nina exhibits signs of generalized anxiety disorder, social anxiety disorder, and paranoid personality disorder through these abnormal behaviors.
Nadia van Heerden is a loving and motivated orphan with an ambitious dream to become the head girl of her school. Her hard work, however, is sabotaged time and again by the tomboy Hetwieg, the sly Susan and Nadia's best friend, Melissa, all of whom are also competing for the title. The opening scene begins at the award ceremony where in Nadia’s dream, Nadia is selected as Hoofmeisie, this scene starts in harmony, but soon turns out to be a catastrophic when comments are passed down to Nadia and the mothers of the children begin to bicker. When Nadia awakens from her dream, she acknowledges herself as Hoofmeisie, sparking a great dislike from her grandmother who has lost hope because of the constraints that have knocked her down.